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Robot-assisted techniques in vascular and endovascular surgery
A Püschel1, C Schafmayer2, J Groß2
1Universitätsmedizin Rostock, Klinik für Allgemein-, Viszeral-, Gefäß- Und Transplantationschirurgie, Schillingallee 35, 18057, Rostock, Germany. anja.pueschel@med.uni-rostock.de.
Langenbeck'S Archives of Surgery
|February 28, 2022
Summary
Robotic assistance in vascular surgery shows promise, particularly for endovascular procedures, offering improved surgical performance and reduced surgeon risks. While robot-assisted vascular surgery has seen limited adoption, endovascular techniques are emerging as a viable alternative.
Area of Science:
- Medical Robotics
- Vascular Surgery
- Endovascular Interventions
Background:
- Robots have been used in medicine for over 35 years, with increasing adoption in various surgical specialties.
- Robot-assisted vascular surgery, introduced in 2002, has not achieved widespread use despite aiming to overcome laparoscopic limitations.
- Robot-assisted endovascular procedures are an emerging field with significant potential.
Purpose of the Study:
- To review the development of robot-assisted vascular and endovascular surgery techniques.
- To summarize the outcomes, advantages, and disadvantages of these robotic approaches.
- To discuss the future perspectives of robotic applications in vascular interventions.
Main Methods:
- A comprehensive literature review was conducted.
- Search terms included "robotic," "robot assisted," "vascular surgery," "aortic," and "endovascular."
- Full-text articles published between January 1990 and March 2021 were analyzed.
Main Results:
- Robot-assisted vascular surgery has limited adoption globally.
- Robot-assisted endovascular procedures are a developing alternative to traditional techniques.
- Advancements in robotic systems enhance surgical performance and mitigate occupational hazards for surgeons.
Conclusions:
- Robot-assisted endovascular surgery presents a promising future in vascular interventions.
- Continued development of robotic systems may increase their utility and safety in vascular procedures.
- Further research is needed to fully establish the role and benefits of robotic assistance in vascular surgery.

